Maryland 2022 Regular Session

Maryland House Bill HB1120 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4	4	[Brackets] indicate matter deleted from existing law.
5	5	hb1120
6	6
7	7	HOUSE BILL 1120
8	8	E4 2lr2961
9	9	HB 235/21 – JUD
10	10	By: Delegates W. Fisher, Bartlett, Crutchfield, Davis, and Toles
11	11	Introduced and read first time: February 11, 2022
12	12	Assigned to: Judiciary
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Correctional Services – Pregnant Incarcerated Individuals – Substance Abuse 2
19	19	Assessment and Treatment 3
20	20
21	21	FOR the purpose of requiring that a pregnant incarcerated individual be screened for 4
22	22	substance use disorder at intake, referred to health care providers, and provided 5
23	23	with certain medications and treatment; requiring a correctional unit to arrange for 6
24	24	health insurance coverage and follow–up health care before release of a pregnant 7
25	25	incarcerated individual; requiring that a pregnant incarcerated individual be 8
26	26	provided with medical records on release; and generally relating to pregnant 9
27	27	incarcerated individuals. 10
28	28
29	29	BY adding to 11
30	30	Article – Correctional Services 12
31	31	Section 9–601.2 13
32	32	Annotated Code of Maryland 14
33	33	(2017 Replacement Volume and 2021 Supplement) 15
34	34
35	35	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 16
36	36	That the Laws of Maryland read as follows: 17
37	37
38	38	Article – Correctional Services 18
39	39
40	40	9–601.2. 19
41	41
42	42	(A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS 20
43	43	INDICATED. 21
44	44
45	45	(2) “PREGNANT INCARCERATED INDIVIDUAL” MEANS AN 22
46	46	INCARCERATED INDIVID UAL AT ANY STAGE OF PREGNANCY , LABOR, DELIVERY, OR 23
47	47	THE 12–WEEK POSTP ARTUM PERIOD . 24 2 HOUSE BILL 1120
48	48
49	49
50	50
51	51	(3) “REPRODUCTIVE HEALTH C ARE PROVIDER ” MEANS: 1
52	52
53	53	(I) AN OBSTETRICIAN ; 2
54	54
55	55	(II) A GYNECOLOGIST ; 3
56	56
57	57	(III) A CERTIFIED NURSE MI DWIFE; OR 4
58	58
59	59	(IV) A PHYSICIAN , NURSE PRACTITIONER , OR PHYSICIAN ’S 5
60	60	ASSISTANT WITH SPECI ALIZATION IN TREATIN G PREGNANT PATIENTS . 6
61	61
62	62	(B) THIS SECTION APPLIES TO ALL CORRECTIONAL UNITS, AS DEFINED IN § 7
63	63	8–201 OF THIS ARTICLE. 8
64	64
65	65	(C) (1) A PREGNANT INCARCERATE D INDIVIDUAL, REGARDLESS OF THE 9
66	66	JURISDICTION OF CONF INEMENT OR THE LENGT H OF TIME THAT THE I NDIVIDUAL IS 10
67	67	EXPECTED TO BE AT THE CORRECT IONAL UNIT, SHALL BE SCREENED FO R 11
68	68	SUBSTANCE USE DISORD ER AT INTAKE USING A VALIDATED SCREENING TOOL. 12
69	69
70	70	(2) A PREGNANT INCARCERATE D INDIVIDUAL WHO HAS BOTH A 13
71	71	POSITIVE PREGNANCY T EST AT INTAKE AND SC ORES POSITIVE ON THE SUBSTANCE 14
72	72	USE DISORDER SCREENING SHA LL BE REFERRED IMMED IATELY TO A BEHAVIOR AL 15
73	73	HEALTH CARE PROVIDER AND A REPRODUCTIVE H EALTH CARE PROVIDER FOR: 16
74	74
75	75	(I) FULL ASSESSMENT ; 17
76	76
77	77	(II) COUNSELING ON ALL AV AILABLE AND RECOMMEN DED 18
78	78	TREATMENT OPTIONS ; AND 19
79	79
80	80	(III) IF CLINICALLY AP PROPRIATE, THE INITIATION OR 20
81	81	CONTINUATION OF MEDI CATION. 21
82	82
83	83	(3) IF A PREGNANT INCARCE RATED INDIVIDUAL WAS RECEIVING 22
84	84	MEDICATION TREATMENT FOR OPIOID USE DISOR DER PRIOR TO INCARCE RATION 23
85	85	AND DESIRES TO CONTI NUE THAT TREATMENT W HILE INSIDE THE CORR ECTIONAL 24
86	86	UNIT, THE CORRECTIONAL UNI T SHALL ENSURE THAT THE INDIVIDUAL CONTI NUES 25
87	87	TO RECEIVE THE SAME MEDICATION WITHOUT A BREAK IN CARE. 26
88	88
89	89	(4) A PREGNANT INCARCERATE D INDIVIDUAL WITH OP IOID USE 27
90	90	DISORDER WHO WAS NOT ON MEDICATION TREATM ENT BEFORE INCARCERA TION 28
91	91	SHALL BE STARTED ON APPROPRIA TE MEDICATION TREATM ENT WHILE IN CUSTODY 29
92	92	IF: 30 HOUSE BILL 1120 3
93	93
94	94
95	95
96	96	(I) THE TREATMENT IS REC OMMENDED ; AND 1
97	97
98	98	(II) THE INDIVIDUAL CONSE NTS TO THE TREATMENT . 2
99	99
100	100	(5) A PREGNANT INCARCERATE D INDIVIDUAL FOR WHO M 3
101	101	MEDICATION FOR THE T REATMENT OF OPIOID U SE DISORDER IS INDICATED BUT 4
102	102	WHO DECLINES THIS TY PE OF TREATMENT , OR WHO WOULD LIKE TO TERMINATE 5
103	103	THE USE OF MEDICATIO N WHILE INCARCERATED , SHALL BE: 6
104	104
105	105	(I) ALLOWED TO DECLINE O R TERMINATE MEDICATI ON 7
106	106	TREATMENT IN A TIMEL Y MANNER; AND 8
107	107
108	108	(II) COUNSELED ON THE RISKS ASSOCIATED WIT H THE ACTION. 9
109	109
110	110	(6) ALL CORRECTIONAL UNIT S SHALL FOLLOW THE C LINICAL 10
111	111	GUIDANCE OF THE AMERICAN COLLEGE OF NURSE MIDWIVES OR THE AMERICAN 11
112	112	COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS WHEN PR OVIDING CARE TO 12
113	113	PREGNANT INCARCERATE D INDIVIDUALS. 13
114	114
115	115	(D) BEFORE RELEASING A PR EGNANT INCARCERATED INDIVIDUAL, A 14
116	116	CORRECTIONAL UNIT SH ALL: 15
117	117
118	118	(1) CONTACT AND WORK WIT H THE APPROPRIATE GO VERNMENT 16
119	119	AGENCIES AND OTHER E NTITIES TO ARRANGE H EALTH INSURANCE COVE RAGE FOR 17
120	120	THE INDIVIDUAL , WITH COVERAGE TO BECOME EFFECTIVE NOT LATER THAN 24 18
121	121	HOURS AFTER RELEASE ; 19
122	122
123	123	(2) REFER THE INDIVIDUAL TO A QUALIFIED REPRO DUCTIVE HEALTH 20
124	124	CARE PROVIDER THAT O FFERS SPECIALIZED SE RVICES FOR PREGNANT AND 21
125	125	POSTPARTUM INDIVIDUA LS IN THE JURISDICTI ON OF THE INDIVIDUAL ’S RESIDENCE 22
126	126	TO CONTINUE PREGNANC Y–RELATED HEALTH CARE ; AND 23
127	127
128	128	(3) REFER THE INDIVIDUAL TO A COMMUNITY –BASED MENTAL 24
129	129	HEALTH AND SUBSTANCE USE PROFESSIONAL FOR TREATMENT AND MEDICA TION 25
130	130	CONTINUITY IN THE JU RISDICTION OF RESIDE NCE OF THE INDIVIDUA L. 26
131	131
132	132	(E) IMMEDIATELY ON R ELEASE OR WITHIN NOT MORE THAN 10 CALENDAR 27
133	133	DAYS AFTER RELEASE , A PREGNANT INCARCERA TED INDIVIDUAL SHALL BE 28
134	134	PROVIDED WITH A COMP LETE COPY OF THE IND IVIDUAL’S MEDICAL RECORDS , 29
135	135	MENTAL HEALTH EVALUA TIONS, ADDICTION EVALUATION S, AND TREATMENT 30
136	136	ASSESSMENTS . 31
137	137	4 HOUSE BILL 1120
138	138
139	139
140	140	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 1
141	141	October 1, 2022. 2